
Health, Medicine, and Charity 129
century. The straw beds were breeding places for lice, fl eas, and germs,
and in summer months, beds crawling with vermin became unbearable.
Further, ventilation was often poor, and the stench of urine and excretion
was sometimes overwhelming. Lack of hygiene in overcrowded rooms
constituted an extreme health hazard in many hospitals. Sometimes two
or three people, each with different diseases, might occupy the same bed,
and straw was distributed around the fl oor for those without a mattress
to lie on. On occasion, a patient entered a hospital with one ailment and
contracted another there, one that could be fatal. Smallpox ran through
the children’s wards and led to many deaths. Tinea and scabies were often
endemic, typhus and dysentery were sometimes introduced, often by sick
soldiers, and gangrene, too, was a problem.
In winter, heat was precious, and lack of hot-water bottles, foot warm-
ers, and braziers meant that elderly patients developed hypothermia and
pneumonia. For young children and the elderly, the hospital was too often
the gateway to the grave.
As some progress was made in the understanding and control of dis-
ease, most doctors became aware that good food and hygienic conditions,
as well as the isolation of patients with contagious diseases, played a part
in health. Such measures, however, were often sporadic, incomplete, and
not economically viable.
Confl ict arose over the use of corpses for anatomical research on the
workings of the human body. This, along with teaching, was fi rmly
opposed by the sisters and the administration. When teaching was allowed,
procedural regulations were strict so as not to offend the sensitivity of the
nurses, who also felt that the sick and poor should not be molested by
students asking questions and trying to examine them.
The medical profession’s demands eventually convinced hospital staff
to allow some dissection of bodies, but, apart from executed criminals, few
bodies were procurable. In some instances, doctors, surgeons, and medi-
cal students in private schools took liberties such as raiding graveyards,
often treating the remains in a cavalier manner once they had fi nished
their dissection. Body parts were dumped outside the cities in heaps or
thrown into a river, where bits might wind up at a public washing site.
As a result of the contentious situation, doctors vied with one another
to acquire posts in military garrisons, prisons, and the new Protestant hos-
pital in Montpellier, where they had direct access to the sick without the
obstructive infl uence of nursing sisters and administrators.
Whenever possible, people, even of modest means, avoided hospitals;
hospital admissions were usually not confi dential, and the experience was
humiliating. Those who were desperate enough to enter the General Hos-
pital in Montpellier, for example, had to appear before the full administra-
tion board of the institution, headed by the bishop, and a committee of the
city’s prestigious nobles. There, as often as not in rags, they pleaded their
case for acceptance. If they were admitted, their effects were confi scated,